Construction and application of the information management system for quality control in the residency standardized training

doi:10.3760/cma.j.issn.1673-677X.2018.02.026

Abstract

Abstract: Objective Implement the construction of the information management system for quality control in the residency standardized training, and discuss the application effect of the system, in order to improve the quality of the training. Methods Search for the factors affecting the quality of the residency standardized training by the Fishbone Diagram and the Stakeholder Analysis, and according to the factors construct the information management system which not only contains eight management function modules, but also is connected with other hospital information systems. To understand the application effect of the system, 100 residents, 30 teaching secretaries and 7 managerial staff of the training were asked to finish a questionnaire survey a year later. Results The user questionnaires show that 94.2% (129/137) of the survey respondents holds the necessity of the construction of the system, and the overall satisfaction reaches 89.8% (123/137), and the system operation suitability is 97.1% (133/137). The working loads in the four basic management tasks are significantly decreased, and the promptness rate of the teaching evaluation increases from 30.0% (54/180) to 100% (180/180), and the contact ratio of the comments reduces from 45.6% (82/180) to 0% (0/180). The flexible way of login, cost savings, efficiency improvement, clear process are considered as the main advantages of the system. Conclusions The information management system plays a positive role in controlling and promoting the quality of the residency standardized training.

Key words: Residency standardized training, Quality control, Information management system, Construction, Application

Sun Xiaoliang, Kang Baoli, Meng Wei, Zhu Yaqin, Luo Xi, Xu Zengguang, Chen Yihan, Chen Chi. Construction and application of the information management system for quality control in the residency standardized training[J]. Chinese Journal of Medical Education, 2018, 38(2): 277-285.

References

[1] 国家卫生计生委, 中央编办, 国家发展改革委, 等.关于建立住院医师规范化培训制度的指导意见(国卫科教发[2013] 56号)[Z].2013-12-31.
[2] 教育部等六部门关于医教协同深化临床医学人才培养改革的意见(教研[2014] 2号)[Z].2014-06-30.
[3] 郑健敏, 阴忆青, 魏宁, 等.基于BPM的住院医师管理系统开发与实现[J].医学信息学杂志, 2016, 37(3):37-41. DOI:10.3969/j.issn.1673-6036.2016.03.009.
Zheng JM, Yin YQ, Wei N, et al.Development and implementation of BPM-based resident doctor management system[J].Journal of Medical Informatics, 2016, 37(3):37-41. DOI:10.3969/j.issn.1673-6036.2016.03.009.
[4] 金伟斌, 李青莉, 卢泳, 等.基于PDCA循环的住院医师规范化培训质量管理实践[J].中国高等医学教育, 2015(5):15-16. DOI:10.3969/j.issn.1002-1701.2015.05.008.
[5] 张路, 李航, 曾学军, 等.住院医师电子化培训管理考核体系初探[J].基础医学与临床, 2015, 35(9):1296-1298.
Zhang L, Li H, Zeng XJ, et al.Assessment of the residents’ clinical competence with a new electronic information system[J].Basic & Clinical Medicine, 2015, 35(9):1296-1298.
[6] 董岳, 孟群.国家住院医师规范化培训管理平台研究与展望[J].中国卫生信息管理杂志, 2014, 11(6):554-558. DOI:10.3969/j, issn.1672-5166.2014.06.05.
Dong Y, Meng Q.Research and prospect of national information management platform on the resident standardized training[J].2014, 11(6):554-558. DOI:10.3969/j, issn.1672-5166.2014.06.05.
[7] 孟群, 邢昊, 李岳峰.国家住院医师规范化培训管理信息系统设计与实施[J].中国卫生信息管理, 2015, 12(5):466-472. DOI:10.3969/j.issn.1672-5166.2015.05.05.
Meng Q, Xing H, Li YF.Architecture design and engineering approach of national information management platform on the resident standardized training[J].Chinese Journal of Health Informatics and Management, 2015, 12(5):466-472. DOI:10.3969/j.issn.1672-5166.2015.05.05.
[8] 赵沛, 沈历宗, 朱滨海, 等.住院医师规范化培训管理系统初探[J].中国医学教育技术, 2011, 25(4):431-434.
Zhao P, Shen LZ, Zhu BH, et al.On the standardized training system for resident administration[J].China Medical Education Technology, 2011, 25(4):431-434.
[9] 冯俊华, 张龙.利益相关者理论的发展与评述[J].科学咨询(决策管理), 2009(8):13-14.
[10] 李琦, 赵峻, 罗林枝, 等.住院医师培训信息化管理现状和实践[J].基础医学与临床, 2016, 36(9):1313-1318.
Li Q, Zhao J, Luo LZ, et al.Management and practice of residents training informationazition[J].Basic & Clinical Medicine, 2016, 36(9):1313-1318.
[11] 黄虑, 周颖杰, 邵强, 等.住院医师规范化培训信息管理平台建设[J].现代医院管理, 2016, 14(5):79-82. DOI:10.3969/j.issn.1762-4232.2016.05.025.
Huang L, Zhou YJ, Shao Q, et al.Establishment of information management platform for standardized resident training[J].Modern Hospital Management, 2016, 14(5):79-82. DOI:10.3969/j.issn.1762-4232.2016.05.025.

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